Individual provider Active NPI

Anabil Haydee Frisby, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1124700463
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
295955 Issued in AZ
Practice address
5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558
Phone
(623) 435-0190
Fax
(623) 435-0193
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 295955 AZ Primary

Addresses

Primary practice location

5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558

Mailing address

5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558
Phone (623) 435-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920000482 AZ Practitioner - Nurse Practitioner 3476917758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Medical Care LLCGroup PAC ID 2860538790, 6 clinicians

Practice addresses (Care Compare)

5048 W Northern Ave
Suite 106
Glendale, AZ 85301-1558
Phone (623) 435-0190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295955AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Medical Care, LLC CurrentSince Nov 24, 2024 Accepting new patients
Total Medical Care, LLC CurrentSince Aug 9, 2023 Accepting new patients

Locations

5048 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (623) 435-0190

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIGDCD/Endpoint/EIGDCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1124700463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 W NORTHERN AVE STE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011558",
            "telephone_number": "623-435-0190",
            "fax_number": "623-498-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 W NORTHERN AVE STE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011558",
            "telephone_number": "623-435-0190",
            "fax_number": "623-435-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBY",
        "first_name": "ANABIL",
        "middle_name": "HAYDEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "295955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.